By Paul J. Carniol, Gary D. Monheit
Each practitioner of aesthetic medication and surgical procedure will have already got a chain of textbooks teaching on tips on how to deal with the traditional sufferer. regrettably, each practitioner also will have sufferers who don't comply with the typical – who're of a distinct age, or intercourse, or ethnicity, or clinical heritage, or who've distinct social requisites. This booklet seems to be at these advanced components that have a tendency to be neglected within the extra general textbooks, yet are of excessive curiosity to these practitioners who're faced through a sufferer no longer conforming to the normal therapy; it swimming pools the services of best aesthetic practitioners to assist indicate the parts of certain problem that come up in scientific perform and the way to set approximately tackling and fixing them.
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Extra info for Aesthetic Rejuvenation Challenges and Solutions: A World Perspective (Series in Cosmetic and Laser Therapy)
Many patients express their desire to avoid a “fish hook” or “wind tunnel” appearance after surgery. Often this desire is based upon their knowledge of a celebrity with just such an appearance. To avoid distortion of the corner of the mouth, it is extremely important for the surgeon to be attentive when resuspending the SMAS. 10 Sideburn suspension suture. 9 Multi-vector SMAS. from the modiolus. The risk of this complication is reduced with less extensive rhytidoplasty procedures where the extent of skin undermining is smaller.
Volume preservation in the midface is essential. With aging, there is descent of the malar fat pad, sub-orbicularis oculi fat (SOOF) pad, and buccal fat pads. Although this may contribute to fullness in the lower third of the face, the surgeon must not remove volume. Instead, resuspension of the ptotic tissue should be performed. Loss of midface volume contributes to a hollowedout, gaunt appearance which then requires additional treatment. The use of alloplastic implants to add volume to the malar and midface regions should be performed conservatively to preserve a natural appearance.
7. Alexiades-Armenakas MR, Dover JS, Arndt KA. The spectrum of laser skin resurfacing: nonablative, fractional, and ablative laser resurfacing. J Am Acad Dermatol 2008; 58(5): 719–37. 8. Tanzi EL, Wanitphakdeedecha R, Alster TS. Fraxel laser indications and long-term follow-up. Aesthet Surg J 2008; 28(6): 675–8. 9. Nestor MS, Goldberg DJ, Goldman MP, Weis RA, Rigel DA. Photorejuvination: non-ablative skin rejuvination using intese pulsed light. Skin and Aging March 1999. 10. Taub AF, Battle EF Jr, Nikolaidis G.